Thank you very much for putting me in touch with Dr.Rao, me and the parents now have a very clear picture about the child’s condition, the difficulties that were encountered during the operation and his long term management plans, we all feel very comfortable.
thanks again for your excellent service we all appreciate it very much.

Vipul Gupta watched his 33-year-old brother die of a malignant tumour in the brain eight years ago. “We knew it was hopeless but we went all the way. He was operated on thrice, at the All India Institute of Medical Sciences in India and Cleveland Clinic in Ohio and Memorial Sloan-Kettering Cancer Center in New York. That’s when I realised that even when the chips are down, the family does not give up, so you have to give it your best,” says the Delhi-based Gupta. He’s a little embarrassed about the emotional outpouring. “Surgeons can’t be emotional, it won’t help the patient on the table. You have to be calm and think clearly,” he says. At 41, Gupta heads neuro-intervention at Medanta – the Medicity, where he moved after doing his MBBS from Delhi’s Maulana Azad Medial College in 1996 and training in neuro-radiology at All India Institute of Medical Sciences (AIIMS) for three years. “I’m out-doorsy and enjoy swimming, rafting and rock-climbing. I broke my knees twice in school. The operation and forced bed-rest for six months slowed me down, forcing me to study which helped me crack the MBBS easily,” he laughs.

Dr Deepak Agrawal, 40, Associate professor, Neurosurgery, AIIMS
He’s the guy at the frontier, treating accident victims at the AIIMS Trauma Centre, best known for treating some of the bloodiest and most bizarre accident cases in the country. “Most accident victims we get are people with severe head or spinal injuries that are often fatal. It does get you down, but nothing can beat the high of seeing a patient everyone including your colleagues had given up on, walk into your clinic for a follow-up. That’s when you know that miracles do happen,” says Dr Agrawal. Agrawal did his MBBS at the University College of Medical Science in 1994 – where he met his onco-surgeon wife Swati – and his training in neurosurgery at AIIMS. “My professional high was being awarded the ‘Young Neurosurgeon of the Year’ Award by the American Congress of Neurosurgeons in 2008. The personal one was my daughter Ayushi, who is five,” he says. His father Dr Ved Prakash was also a neurosurgeon at AIIMS, so Agrawal’s becoming a surgeon was almost pre-determined. “I like to catch up on my emails before breakfast, so I begin work at 5.30 am. I leave home at 7.30, doing rounds of the ward for three hours, which is followed by surgeries that usually go on till 7. Then come the evening rounds, which finish at 9 pm. Add to this administrative work, teaching and writing and correcting research papers, and my day never seems to end,” says Agrawal.

Bangalore residents are used to seeing Dr Sri Ganesh zooming down the streets to his farm on his Suzuki Intruder, which he exchanges for his Audi Q7 or BMW 5-Series when he visits the hospitals he set up. “Both my grandmas were blinded with cataract, one because of a botched up surgery. I think seeing them faltering around the house made me decide I wanted to do all I could to help people see,” says the 44-year-old. Eye surgery techniques have become much safer now. “Back then, there were no intraocular lenses (artificial lenses put inside the eye in place of the natural ones) and the failure rate of a simple cataract surgery was 30 per cent, largely due to infection. Now, less than 0.1 per cent cataract and vision-correction surgeries have complications,” he says. Sri Ganesh met his wife Sumanshree at a paratrooping camp in Agra. He was 17, she was 16. “Someone stole my things and she was very sweet,” he says. They married six years later, in 1990, after Sri Ganesh did his MBBS. The couple have three children, Supriya, Sushant and Skanda. Apart from running six hospitals – four in Bangalore, one in Mysore and one in Mangalore – Sri Ganesh runs a 90-bedded charitable hospital in Padmanabhanagar that does 8,000 free cataract surgeries a year.

Dr Mahipal S Sachdev, 52, Centre for Sight Group of Hospitals

Mahipal S Sachdev, eye surgeon to the rich and powerful, never invests in anything but health. “My last investment was Harshad Mehta and I burnt my fingers there,” says Dr Sachdev. His investments in healthcare – time, energy and money – have shown better results. Sachdev was told he was crazy when he quit as associate professor at the All India Institute of Medical Sciences (AIIMS) to join the newly-opened Indraprastha Apollo Hospital in Delhi in 1996. He was 37. The skeptics got it very, very wrong. Within 15 years of that, he’s running 17 eye hospitals that have become one-stop shops for eye disorders in north India. A year-long fellowship to Georgetown University in Washington DC in ’89-’90 opened his eyes, literally, to the technological imaging and surgical revolution happening in the field of ophthalmology. “I realised less invasive radical surgeries were the way forward, but I needed equipment and trained staff for that. I could not get that in a government set-up. So I set up my own centre, which started in a 8×10 foot room in Safdarjang Enclave in 1996, but we’ve grown a little since then,” he says with obvious pride. Sachdev is arguably the best person to go to for cataract and lasik surgery in India. “This is all I want to do, medicine is in my genes. My mother and brother are doctors, so is my wife Alka and daughters Ritika, 29, and Gitansha, 25,” says Sachdev. Sachdev also has an unexplored, fun side to him. “I did my MBBS from AIIMS, where I was the secretary of the students’ union. We were the ones who threw open Pulse, the students’ festival at AIIMS, to fashion, jam sessions and music. Before that, it was a sporting event. We made it socio-cultural,” he says.

COSMETIC SURGERYSunil Choudhary, 42, Aesthetic and Reconstructive surgeon, Max Speciality Hospital, Delhi
Quite like modern day Dr Frankensteins, attaching a hand and replacing chopped fingers with toes is all in a day’s work for reconstructive surgeons. Some, like Sunil Choudhary, who head the aesthetics and reconstruction at Max Speciality Hospital, start a conversation with, “Today, I attached two toes and one finger in the right hand of a 16-year-old who’d lost his fingers in a farming accident. He’ll be able to write now”. This is followed by an MMS of a surgery to fix a congenital defect in which a child’s skull stops expanding naturally, squeezing the brain and making it bulge out of the forehead. Unlike popular perception, silicone implants and other cosmetic procedures make up less than a third of a cosmetic surgeon’s case load. “A lot of what we do is related to reconstruction after cancer surgeries and accident cases, including burns and acid attacks,” he explains. Choudhary grew up in Delhi, went to school in DPS RK Puram and did his MBBS from Maulana Azad Medical College, after which he joined the training programme of the UK’s National Health Service.

He insists on giving you a business card. “I’m the only one in the world with this name, so people often get it wrong,” says Dr Shahin Nooreyezdan. There is, however, a little boy called Shahin Sharma, who was called Golu before his grateful parents renamed him after the surgeon who reattached his finger. “It was deeply touching, but also strange. I guess now there’s another person in the world with a very unusual name,” he says. Nooreyezdan grew up in Mumbai, where he lived with his parents in a flat above Russi J Manekshaw, the granddaddy of plastic surgery in India. “Each day, I’d walk past his door on my way home from school and pass this display box with before- and after-surgery pictures, which kept changing every week. I was hooked and decided this was what I wanted to do,” says the Delhi-based Nooreyezdan. He moved to London in 1996, where he worked at St Andrew’s Hospital for three years and met his wife Neda, a British citizen. “When we decided to move back and I went to the Indian High Commission for a visa for my wife, the clerk there said, why are you going? You have a great future here!” he laughs. Most of his work in India is reconstruction. “Unlike other surgeons who can walk in to do the critical part of the surgery, I have to be there from the first incision to the final stitch because what I do is for everyone to see,” says Nooreyezdan, who gets women as young as 19 who need reconstruction after breast cancer surgery. The deft fingers that reconstruct tissues and reattach blood vessels 1.2-1.5 mm in diameter also help him pursue his hobby: collecting and repairing antique clocks. Nooreyezdan has a collection of over 125 pendulum clocks from all over the world, including grandfather clocks from the UK, clocks from ships and railway stations. “It started when I was 17, when I noticed an old, broken, clock at an Irani dhaba. I bought it for R170, got it home and fixed it. I still do it, though I have to pay a guy to wind them up in rotation once a week,” he says. He clearly knows how to wind down.

ORTHOPEDIC SURGERY

Dr Vijay C Bose, 44, Head of orthopaedic surgery, Apollo Chennai
He was part of British orthopaedic surgeon Derek McMinn’s crack team that developed the ‘Birmingham Hip’ – a hip implant that allows people to play contact sports and twist without shouting after a hip transplant – in the late ’90s. Yet what gives Dr Vijay Bose the greatest joy is recognition from his peers. “Three weeks ago, a renowned joint replacement surgeon from the US got his son to our centre for surgery. He’s one of the best in the world and could have done it himself, he could have got it done by the best in his own country, but he still came to India. That’s the quality India offers to the world now,” says Bose. Bose, who joined Apollo Hospital in Chennai in 2000 after six years in Birmingham and Liverpool in the UK, now routinely gets so many patients from overseas that he’s became the face of medical tourism in India for 60 Minutes on CBS News. “I did the first implant in Apollo in 2000 and since then, I have demonstrated the technique across 80 hospitals in India,” says Bose, who did his MBBS from Madras Medical College in 1990. Apart from hip replacement, he does knee and shoulder joint reconstructions.

Dr Suraj Guruv, 36, Orthopaedic surgeon, Asian Heart Institute, Mumbai
Dr Suraj Guruv’s last holiday was spent shooting wildlife at Bandhavgarh National Park in Madhya Pradesh, but he did not break any laws. Guruv is an amateur photographer and rarely leaves home without his Nikon Digital SLR. “I’m crazy about wildlife photography,” he says. When he’s not shooting, Guruv is fixing damaged hips and knees using minimally invasive bone-conserving surgeries in India that make it possible for people to run, drive and work just as they did before, after hip or knee replacements. Guruv is a Mumbai boy, who grew up in Prabhadevi, went to a neighbourhood school, did his MBBS at Mumbai’s Topiwala National Medical College and worked in Bombay Hospital before going to train in Singapore General Hospital. “I belong to a family of chartered accountants, my dad is one, so is my older brother. So when dad said try something else, I thought, why not?” says Guruv, who aced his entrance exam. “Even though I don’t invest in the markets, I still follow financial news very closely, perhaps because that’s what I’ve grown up hearing,” he says. He returned to India because he wanted to be part of the boom in medical care that India is witnessing. “We now have medical facilities at par with any other in the world, with better care,” he says.

HEART SURGERY
Dr Raja Joshi, 40 Paediatric cardiac surgeon, Apollo
He’s called the ‘bandana guy’ because he wears a bandana instead of a surgical cap while operating. Apart from his training as a paediatric heart surgeon during a five-year stint at Cleveland Clinic in the US, what defines Raja Joshi is his bandana collection. “You have to strike a chord with the kids you’re treating, and a bandana with Dalmatians on it sure helps to break the ice,” says the Delhi-based Joshi who, at 36, became one of the youngest surgeons in the country to set up a paediatric cardiac surgery unit in a major hospital. “My dad was in the air force, I grew up wanting to be a fighter pilot. It was after my class 10 boards that my dad told me there were other ways to earn a living,” he recalls. The idea of being a heart surgeon for children came a year later, after a Doordarshan show on a hole-in-the-heart being fixed. “It was so dramatic, the lights and the surgeons in scrubs, this child being immersed in ice to bring the body temperature down. Suddenly, that was the only thing I wanted to do,” says Joshi. He’s had no regrets. “It’s one of the few surgeries where the patients outlive the surgeons. You won’t believe the number of birthday invites I get. Anyone can do adult heart surgery, paediatric is what separates the boys from the men,” said Joshi. His wife Reena Joshi, 36, is a paediatric anaesthetist who’s helped him introduce innovations such as letting the mother stay with the child in the operation room till he sleeps. “Taking away a baby from the mother makes anxiety levels shoot up. Keeping them together till the baby is anaesthetised improves surgery outcomes,” says Joshi.

Pranav Kandachar, 37, Paediatric heart surgeon, Asian Heart Institute, Mumbai
Heart surgery is one of the cleanest surgeries there is, it’s like mathematics. The result is directly related to what you do, there are few surprises,” says Pranav Kandachar, the newest heart surgeon to join Asian Heart Institute’s team of surgeons. “Of course, there are some conditions in which you cannot play god, but in most cases, children can lead active, normal lives after surgery,” he says. After doing his MBBS from Bangalore Medical College in 1997, Kandachar worked at Sion in Mumbai, Apollo Chennai and Colombo, did a year long stint in New Zealand, returned to Bangalore to work at Shirdi Sai Baba Charitable Hospital, and joined the Asian Heart Institute, Mumbai, in January this year. “When you’re training, one institute can’t offer you everything. I’ve trained with the best,” he says. Kandachar describes himself as a nature kind of guy, being big time into hydroponics, a scientific method of growing plants in water – without soil – using mineral nutrient solutions. “I have a virtual vegetable garden in my little balcony, where I grow spinach, beans, cauliflower, coriander and mint. I’m planning to grow strawberries next,” he says. He’s also into ornithology and is part of a nature club that goes birdwatching to sanctuaries at least once a month.

Today, medical tourism is a widely accepted and proven formula for top quality care at low cost. Given the manifold increase in the number of patients traveling overseas for medical and surgical care from the US, the American College of Surgeons (ACS) has recognized that surgical care has become more readily available in a wider global market, and that this phenomenon is here to stay. So, the College recently developed an official “Statement on Medical and Surgical Tourism”, which according to ACS are “consistent with the College’s longstanding advocacy position of promoting an environment of optimal care for the surgical patient”.

The College has developed several key principles (listed below) for those who choose to seek surgical care abroad. The College:

encourages patients to seek care of the highest quality and supports their rights to select their surgeons and health care institutions without restriction.

encourages its Fellows to assist all patients in reaching informed decisions concerning medical care, whether at home or abroad.

advises patients to consider the medical, social, cultural, and legal implications of seeking medical treatment abroad prior to deciding on a venue of care.

encourages patients electing to receive treatment abroad to seek care at health care institutions that have met the standards for accreditation established by recognized accrediting organizations.

encourages patients electing treatment abroad to seek care from surgeons and anesthesiologists certified in their specialties through a process equivalent to that established by the member boards of the American Board of Medical Specialties.

encourages patients receiving treatment abroad to obtain a complete set of medical records prior to returning home so that the details of their care are immediately available to their physicians and surgeons in the U.S. Follow-up care at home should be organized prior to travel whenever possible.

encourages patients contemplating medical tourism to understand the special risks of combining long international flights and certain vacation activities with anesthesia and surgical procedures.

opposes the imposition of provisions for mandatory referral of patients by insurers to health care institutions outside the U.S., unless such provisions are clearly and explicitly stated in the insurance contract and accepted by the subscriber.

supports the view that payors referring patients for mandatory treatment abroad should be responsible for the coordination and reimbursement of follow-up care in the U.S., including the management of postoperative complications, readmissions, rehabilitation, and long-term care.

By January, Jane Schaeffer could barely manage a walk around the block, which was no surprise: She needed a new hip.

Schaeffer, who is 64 and a yoga teacher in Bennington, didn’t like that prognosis. So, she consulted the oracle of Hippocrates — the Internet — and concluded that what she wanted was a Birmingham Hip-Resurfacing , or BHR, a less-invasive procedure developed in England and approved in the U.S. in 2006.

Unfortunately, Schaeffer’s insurance company, Blue Cross Blue Shield of Vermont, saw her case differently and insisted that, at her age, she should have her hip replaced . That left Schaeffer, if she wanted to get better, with a choice: Get a new hip on BCBSVT, or pull together $8000 and have the joint “resurfaced” in India.

For Schaeffer, it was no choice at all. On April 18, she underwent a BHR at Apollo Hospital in New Delhi. Two weeks later, she was home, preparing to return to work. “With full hip replacement , I would never have full range of motion in my hip,” she said. “I would never be able to teach properly again.”

Americans have been going abroad for health care for years. Retirement communities in Arizona routinely bus fixed-income residents over the Mexican border, where the prescription drugs and dental care are cheaper. For those with radically different needs, and a certain disposable income, Brazil and Argentina are famous for skilled, cut-rate plastic surgery; a $10,000 tummy tuck in L.A. or Houston might cost a third as much at Plenitas, a boutique clinic in Buenos Aires.

In the last few years, hospitals in exotic locales such as India , Singapore and Thailand have aggressively marketed major surgical procedures — heart bypasses and coronary valve replacements , for instance — at drastically lower prices than are available in the United States. And more and more Americans are taking advantage of it. A 2007 study by the National Center for Policy Analysis in Dallas estimated that about 500,000 U.S. residents traveled abroad for care in 2005. According to the management consultant McKinsey & Company, the worldwide “medical tourism ” industry was worth $60 billion in 2006, and is expected to reach $100 billion by 2012.

Concerns about the quality of care abroad have all but disappeared, thanks to improved standards of care that are monitored by accreditation bodies, such as Joint Commission International and the International Society for Quality in Health Care. Studies have shown that mortality rates at hospitals that specialize in medical tourism are as low as, or lower than, those at U.S. hospitals.

Jane Schaeffer said Apollo Hospital in New Delhi “was really a whole different universe.

“The whole situation there is set up for people who have hip resurfacing,” she said. “I had [physical therapy] twice a day, the surgeon came in twice a day to visit . . . I can’t recommend it highly enough.”

Schaeffer made her own travel arrangements to New Delhi but relied on an online broker, Healthbase , to find a doctor and hospital for the operation. Saroja Mohanasundaram, Healthbase’s chief executive officer, said her company has formed “partnerships” with major hospitals in 11 countries . Her staff handles everything from digitizing and transferring patient medical records, to arranging airport transfers and hotel accommodations.

“The medical part is the main thing,” Mohanasundaram said. “Once they like the facility and the doctor, then we try to help them with the logistics.”

To arrange your medical travel trip overseas for any medical , dental or cosmetic procedure , contact Healthbase. Healthbase is an award-winning medical tourism facilitator connecting patients to leading healthcare facilities worldwide . Cost of surgical care at Healthbase’s partner hospitals is a fraction of the cost of similar care in the US for equal or superior outcomes.

Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.

DENTAL TOURISM

Healthbase, an award-winning Dental Tourism Facilitator, connects you to dental care facilities overseas where you can get top quality dental care for a fraction of the cost in the US. Waitlists like those in Canada and the UK are literally eliminated and access to world-class dental care is within reach. For e.g.: dental implants which cost over $4000 in the US can be had for as low as $650 in Mexico. Dental tourism is ideal for crowns, implants, implants-in-a-day, veneers, bridges, root canal, dental surgery and many other dental procedures. You will save so much that you can even enjoy a luxurious retreat at exotic destinations after your treatment.

Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.

STEP-BY-STEP GUIDE TO MEDICAL TOURISM

Going overseas for surgical treatment can be overwhelming for anybody. After all, it’s not like going to a hospital down the road where you have been to before and know all the doctors and nurses. To be successful in your pursuit of low cost high quality medical treatment , there is a step by step process that you must follow to gain confidence in your decision, get the right care and save money.

Find out all you can about the medical procedure in question – problems it solves, follow-up care needed, physical therapy required, etc. This will help you clear 3 doubts: is the procedure right for your condition; are you the right candidate for the procedure; and should you go abroad for it.

STEP 3: FIND OUT IF MEDICAL TOURISM IS WHAT YOU WANT

Medical tourism is not always a good choice for non-emergency medical treatments. Sometimes transportation costs may outweigh the possible savings achievable by going abroad. In some cases, the time required for the surgery abroad may be too much for you to spare. Or, the surgery you need may not be available abroad with a reputable health care provider.

Does the hospital or clinic employ the latest equipments and technology? Do they have expertise in the medical procedure you are seeking? What accreditations and awards do they have? Are the surgeons qualified enough? Where did they receive their education and training?

Answering these questions will give you a fair idea of the standard of quality of the provider.

STEP 6: ARRANGE ALL YOUR MEDICAL RECORDS

You will need them at the time of pre-consultation with your overseas surgeon as well as when you go abroad for surgery. Depending upon the condition you are treating, medical records you may need are: X-Rays, X-Ray reports, MRI’s, health histories, photographs, immunization record, prescriptions, etc..

STEP 7: REQUEST AND COMPARE QUOTES

Costs of health care vary from country to country and provider to provider. So request for quotes and compare them. Your selection of a particular provider and country should be based not just on low cost but also on quality as well as distance.

STEP 8: CHECK WITH YOUR INSURANCE FOR COVERAGE

With the numerous benefits that medical tourism offers, today some insurance companies have medical tourism plans. So, if you are covered under an overseas medical treatment plan, your insurer might cover your medical tourism expenses in full or in part. So check with your health insurance company for coverage details.

STEP 9: ACQUIRE YOUR PASSPORT AND VISA

If you and/or your travel companion (if any) do not have a passport, you will need to acquire it. Some countries may require you to have a visa for entry. Check visa requirements and apply for it.

STEP 10: PLAN YOUR ITINERARY

When planning your itinerary, allow ample time for recovery. Be prepared to stay longer/shorter than expected. If you have travel or tourism on mind, allow time for that as well.

STEP 11: BOOK TICKETS AND ROOMS

Book tickets for yourself and your companion. After your surgery, you can choose to relax at a resort or in a hotel or go traveling in the foreign country. So if possible, make arrangements beforehand.

STEP 12: APPLY FOR TRAVEL INSURANCE PLAN

Consider purchasing one of the short-term health and emergency assistance policies designed for travelers. Travel insurance gives medical tourists coverage for unforeseen problems, from a canceled flight to a serious illness.

In certain cases, you may need to prepare your home for recovery. For example, if you are seeking affordable hip resurfacing surgery abroad , you may want to rearrange furniture in your house in advance before you leave to aid during the recovery stages.

STEP 15: PACK YOUR BAGS AND TAKE THE TRIP

Ensure that you have packed comfortable clothing. Bring some local currency, travelers checks, and one or two major credit cards. Keep important contact information handy. Bring all the required medical records. Remember to carry all your medical reports as well as any medicines in your carry-on luggage. Finally, take your well-planned medical trip and return home happy and healthy!

The above step by step medical tourism guide will help you with most aspects of medical tourism. To make your medical travel easy you may want to use a medical tourism provider to help you with all the logistics of medical tourism. Medical tourism providers like Healthbase (http://www.healthbase.com ) connect you with the hospital of your choice while providing many other related valuable services.

Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.

Know Your BMI

Body mass index or BMI is a measure of the weight of a person in relation to their height.

BMI is often times used to determine whether or not a person is obese. As BMI increases, the risk of some diseases increases. A BMI of 30 or above is considered obese in adults, which means a person is at a higher risk for certain diseases, including heart disease, high blood pressure, and coronary artery disease (CAD).

BMI can be calculated using either the BMI calculator or the following BMI chart.

The following table provides information about the extent of the risk factors that may be associated with your calculated BMI. However, it should be noted that BMI is only one of many factors used to predict the risk of developing a disease.

Healthbase is a medical tourism and dental tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals and dental offices overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

Note: All information presented here has been obtained from publicly available medical resources and is here for reference purposes only. Healthbase does not claim to be a medical professional and does not provide any advice on any issues relating to medical treatment.